Korean J Med.  2011 Mar;80(3):356-359.

Pyomyositis Caused by Non-O1 Vibrio Cholerae in a Patient with Liver Cirrhosis

Affiliations
  • 1Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea. karmacho@gmail.com
  • 2Department of Laboratory Medicine, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea.

Abstract

A 63-year-old man with underlying liver cirrhosis was admitted with painful swelling of the right thigh. We identified a non-O1 Vibrio cholerae strain in blood cultures and multiple pyomyositis in the lower limbs. Non-O1 V. cholerae strains have caused several well-studied food-borne outbreaks of gastroenteritis and have been responsible for sporadic cases of otitis media, skin and soft tissue infection, and bacteremia. Skin and soft tissue infection due to non-O1 V. cholerae is rare and is commonly associated with the presence of chronic underlying disease, such as liver cirrhosis, diabetes mellitus, an immunocompromised state, or a hematological malignancy. We report the first case of pyomyositis caused by non-O1 V. cholerae in Korea. Physicians should consider non-O1 V. cholerae strains as a pathogen that can cause pyomyositis.

Keyword

Vibrio cholerae non-O1; Pyomyositis; Liver cirrhosis

MeSH Terms

Bacteremia
Cholera
Diabetes Mellitus
Disease Outbreaks
Gastroenteritis
Hematologic Neoplasms
Humans
Korea
Liver
Liver Cirrhosis
Lower Extremity
Middle Aged
Otitis Media
Pyomyositis
Skin
Soft Tissue Infections
Sprains and Strains
Thigh
Vibrio
Vibrio cholerae
Vibrio cholerae non-O1
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